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March 09, 2007
insurdunce
Why does health insurance have to be such a pain in my ass? Wait, did I say pain, no, nope, no pain here. Shhh, don't mention pain, I don't want to have to get another referral!
Our old insurance plan with sucky, cold, unforgiving, heartless company did not require referrals and was supposed to be in effect until end of February.
We have a new plan with same sucky, cold, unforgiving, heartless company except now I have to have a referral for anything that is not with our primary care physician.
We just got the new cards and they have some obscure Dr. as our Primary Care Physician (PCP). I called to ask why this was and they told me that said Dr. was chosen for us because we had not identified a Dr. when plan was set up. I told them we had all our Dr.'s picked out on the old plan and of course they replied that they didn't carry over that information.
Gee thanks!
At this time I am also told that I need to have referrals for any Dr. that isn't our PCP. Okay, so this means I have to get a referral from a Dr. I've never met to see the allergist that I've been seeing for months now. RIDICULOUS!
A claim was turned down from Little Bear seeing his Dr. when he was sick because it wasn't the Dr. they had picked for us. Also, now we have all these denied claims because they cancelled the first plan on 12/30/06 instead of 1/30/07 like they were supposed to and I have to get it all straightened out in 7-10 days or pay big bucks for the services they are refusing to cover.
I am about to have an apoplectic fit and then a stroke but I am afraid to because I don't have a referral for any of it.
On a side note, Little Duck now has 8 whole teeth and out of the blue he started clapping his hands and shaking his head no in the last week. And if you check my Flickr pics you'll see we caught him standing all by himself! Yeah! We missed out on many of these milestones with Little Bear’s disabilities so it is so new to us and very exciting to watch.
Posted by bugg at March 9, 2007 04:11 PM
Comments
If the insurance company give you no relief, contact your state's insurance commissioner. Every state has one, and it's that office's job to crack down when companies repeatedly and erroneously deny claims, make people run around crazy to get what they're entitled to, etc. Just a thought!
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